Inspection Reports for
The Willows at Harrodsburg
180 LUCKY MAN WAY, HARRODSBURG, KY, 40330
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than Kentucky average
Kentucky average: 4.7 deficiencies/year
Deficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Dec 18, 2024
Visit Reason
The inspection was conducted to investigate complaints regarding failure to provide adequate care and assistance to residents, including issues with care planning, supervision, food storage, and infection control.
Complaint Details
The complaint investigation substantiated failures in care planning and delivery for hospice residents, inadequate supervision leading to a resident fall with injury, improper food storage, and lapses in infection control practices including medication handling and use of personal protective equipment.
Findings
The facility failed to implement comprehensive care plans and provide required assistance with activities of daily living for hospice residents, failed to prevent a resident fall resulting in bilateral femur fractures, stored food and medications improperly, and did not consistently follow infection prevention and control protocols including enhanced barrier precautions and medication administration.
Deficiencies (5)
F0656: The facility failed to implement a comprehensive person-centered care plan for a hospice resident, resulting in missed bathing, oral care, repositioning, and restorative dining assistance.
F0677: The facility failed to provide assistance with activities of daily living including bathing, oral care, and restorative dining for a hospice resident as per the care plan.
F0689: The facility failed to adequately supervise a resident during bed mobility, resulting in a fall with bilateral femur fractures and actual harm.
F0812: The facility failed to store food properly by leaving a case of bananas on the floor and failed to remove expired nutritional supplements from the medication storage room.
F0880: The facility failed to implement effective infection prevention and control practices including failure to use enhanced barrier precautions during feeding tube dressing changes, improper medication handling, and improper storage of flu vaccines with nutritional supplements.
Report Facts
Residents sampled for Hospice care: 3
Residents sampled: 20
Date of fall incident: Oct 11, 2024
BIMS score: 10
BIMS score: 15
Use by date: Jul 1, 2024
Staff educated on fall prevention: 47
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN5 | Registered Nurse | Provided immediate post-fall assessment and education to staff after resident R20 fall |
| CRCA5 | Certified Resident Care Assistant | Involved in resident R20 fall incident and received education on two-person assist |
| LPN1 | Licensed Practical Nurse | Performed feeding tube dressing change without enhanced barrier precautions for resident R1 |
| RN4 | Registered Nurse | Handled medication with bare hands during administration for resident R19 |
Inspection Report
Deficiencies: 0
Date: Sep 26, 2019
Visit Reason
The document is a Statement of Deficiencies and Plan of Correction for The Willows at Harrodsburg, related to a regulatory survey completed on 2019-09-26.
Findings
No health deficiencies were found during the survey.
Inspection Report
Routine
Deficiencies: 3
Date: Dec 20, 2018
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including staffing, medication administration, food safety, and other care standards at the nursing home.
Findings
The facility failed to ensure a registered nurse was on duty for eight consecutive hours seven days a week on four occasions. There was a medication error involving crushing an enteric-coated aspirin which should not have been crushed. Additionally, food items stored in resident nourishment refrigerators were not properly labeled or dated as required by facility policy.
Deficiencies (3)
F 0727: The facility failed to ensure a Registered Nurse was available eight hours per day, seven days per week on four days during the review period 10/13/18 through 12/20/18.
F 0760: The facility failed to follow standard practice by crushing an enteric-coated Aspirin for one resident, contrary to facility policy and medication orders.
F 0812: The facility failed to properly label and date food items stored in resident nourishment refrigerators, resulting in unidentified and unlabeled food items.
Report Facts
Days without RN coverage: 4
Medication samples reviewed: 18
Residents affected: 1
Unlabeled food items: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #2 | Named in medication error finding for crushing enteric-coated Aspirin. | |
| Director of Nursing (DON) | Interviewed regarding RN staffing and medication administration policies. | |
| Administrator | Interviewed regarding RN staffing and food safety expectations. | |
| Certified Resident Care Aide (CRCA) #3 and #4 | Interviewed regarding food labeling and storage practices. | |
| Director of Food Service | Interviewed regarding responsibility for food storage and labeling. | |
| Registered Nurse (RN) Director of Health Services | Interviewed regarding food safety policy enforcement. | |
| Pharmacist | Interviewed regarding medication crushing and enteric-coated Aspirin. |
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